MEDICARE: JAMES E SHEFFIELD LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC001205	GA

General Provider Information

NPI Number	:	1326081175
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES E SHEFFIELD LPC

Provider Business Mailing Address
First Line	:	417 W 3RD AVE
Second Line	:	P.O. BOX 1828
City	:	ALBANY
State	:	GA
Zip	:	31701-1943
Country	:	US
Telephone Number	:	229-312-7001
Fax Number	:

Provider Business Practice Location Address
First Line	:	500 W 3RD AVE
Second Line	:
City	:	ALBANY
State	:	GA
Zip	:	31701-1985
Country	:	US
Telephone Number	:	229-312-7001
Fax Number	:	229-312-7006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/13/2006
Last Update Date	:	03/12/2009

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